第12届 绅士淑女之夜

angelinaslg

第12届 绅士淑女之夜

12th Ladies & Gentlemen Night

Date: 13 Feb 16 (7:30PM)
Venue: Dewan Sri Pinang,Penang (Room A)
Contact: Angelina : 012-4620238 (Whatsapp,Wechat)

_______________________________________________

Register Form:

第12届 绅士淑女之夜
12th Ladies & Gentlemen Night

日期(DATE) : 13/02/2016 （SAT）

时间(TIME) :7:30PM – 11:00PM

地点(VENUE): 槟洲大会堂 ( Bilik A )
DEWAN SRI PINANG ( Bilik A )

费用(FEE) : 男士(Men) @RM 80.00 (5个人或以上集体报名免费一位)
女士((Gal) @RM 60.00 (5个人或以上集体报名免费一位)

*P/S : 31/01/16起 (不分男女一律@ RM 100.00 , 31/01/16 start all RM100.00 )
(The organizer reserves the right to reject any participants application & made fund if payment already been made.)

截止日期(CLOSING DATE): 07/02/16 *(怒不接受临时报名) Temporary registration will not be accepted

报名资格 : 公开给所有25-48单身男女。*(OPEN FOR 25-45 SINGLE)

服装(DRESS) : 穿着简单端正 （Casual Wear） 自备(BRING OWN) : Pen

报名方式(REGISTER): 欢迎邮寄或来电报名.填妥表格寄来后,请汇钱至 MayBank A/C : 570 3660 7974 (Tan Vee Ping)

联络人(CONTACT) : Angelina 012-462 0238 Email:[email protected]
(whatapp, wechat) : keat 019-598 8183

姓名(NAME):
（C）_________________________(E)________________________
(SEX):___________年龄(AGE):_________________________
身份证号码(NEW I/C):________________________________
电话(H/P)：________________(H)______________________
职业(OCUPATION):_________________________________
地址(ADD):__________________________________________________________________________________________________Facebook Email :___________________________________________________
*已支付之费用一概不得退还。 *本中心有权增删任何细则及拒绝报名而不给予理由。

本人___________________在此签名为证,本人在注册局属单身/失婚/丧偶,上述资料绝对属实以及若有任何意外发生一概由自己挡当,与主办当局无关.

I___________________, hereby confirm and declare that all information provided by me is complete, true and correct, this clause excludes the center from any legal responsibility for any activities conducted by the center members.

______________________ ____________
申请者签名(SIGNATURE) 日期(DATE)

留戀榴莲

charmedone. 要一起去吗